Division of General Thoracic Surgery, Mayo Clinic, Rochester, Minnesota.
Division of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
Ann Thorac Surg. 2014 Jan;97(1):350-2. doi: 10.1016/j.athoracsur.2013.06.067.
The anterior thoracic inlet is difficult to access surgically because of the overlying pectoral-shoulder girdle, clavicle, and manubrium. With both the Dartevelle and Grunenwald approaches, retraction of an osteomuscular flap is required, and patients may be left with the functional and aesthetic implications of partial clavicular resection. We describe a novel technique involving manubrial-clavicular-chest wall explantation with preservation and reimplantation. Manubrial and clavicular plating is performed to stabilize the anterior chest wall and clavicle after reimplantation. This approach represents an alternative technique that provides excellent visualization of the entire anterior thoracic inlet.
由于胸肩部、锁骨和胸骨柄的覆盖，前胸部入口很难进行手术。采用 Dartevelle 和 Grunenwald 两种方法都需要牵拉骨肌瓣，患者可能会因部分锁骨切除而留下功能和美观方面的影响。我们描述了一种新的技术，涉及胸骨柄-锁骨-胸壁的切除和保留再植入。在再植入后，进行胸骨和锁骨的接骨板固定，以稳定前胸部和锁骨。这种方法是一种替代技术，可以提供整个前胸部入口的极好的可视化效果。
